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Lynn Marie Goya
CLARK COUNTY CLERK
 

Document Details





Instrument Number
202109252005756

Record Date
9/25/2021

Book Type
NOT - NOTARIES

Book/Page

Instrument #
202109252005756

Number of Pages
7

Doc Type
OFF - MINISTER/OFFICIANT

Officiant Name
BASILE, SALVATORE A

Date of Birth
7/5/1964

Type
Long Term

Processed By
GARCIAB

Status
Approved

Online Test Passed
8/4/2026

Background Check Req?
True

Background Check Cleared Date
9/10/2021

Officiant Residence Address 1
3828 NIVOSUS AVENUE

Officiant Residence City
LAS VEGAS

Officiant Residence State
NEVADA

Officiant Residence Zip
89141

Officiant Mailing Address 1
3828 NIVOSOS AVENUE

Officiant Mailing City
LAS VEGAS

Officiant Mailing State
NEVADA

Officiant Mailing Zip
89141

Officiant Phone 1
(702) 610-3386

Officiant Email Address
SAM.BASILE@ME.COM

Officiant Licensure Date
9/29/2021

Approved Date
9/30/2026

Certificate Expiration Date
9/30/2031

Renewal Notification Returned Date
8/10/2026

Notes
IN PERSON CLASS 9/29/21; UPDATE FORM 8/4/26PC; RENEWAL PROCESSED 8/23/26